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Get the free Emergency.Concussion.Insurance student activity form Revised 7.1312.doc

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Burlington High School Activities Department Emergency/Concussion Information and Consent Form (This form needs to be completed, signed and returned to the BHS Activities Office BEFORE starting practice.)
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How to fill out emergencyconcussioninsurance student activity form

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How to fill out emergencyconcussioninsurance student activity form

01
Obtain the emergency concussion insurance student activity form from the school or organization organizing the activity.
02
Fill out the student's personal information including name, address, contact number, and emergency contact information.
03
Provide details about the student's medical history, including any past concussions or head injuries.
04
Review the form for accuracy and completeness before signing and dating it.
05
Return the completed form to the school or organization by the specified deadline.

Who needs emergencyconcussioninsurance student activity form?

01
Any student participating in school-sponsored or organized activities that carry a risk of concussion or head injury.
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The emergency concussion insurance student activity form is a document designed to collect necessary information about students participating in activities that may pose a risk of concussion. It ensures that students and their guardians understand the risks and the need for insurance coverage in case of a concussion.
Students participating in sports or activities that have a higher risk of concussion are required to file the emergency concussion insurance student activity form, along with their guardians.
To fill out the emergency concussion insurance student activity form, students and their guardians must provide personal details, including the student's name, age, and the specific activities they will participate in. They may also need to provide insurance information and sign to acknowledge understanding of concussion risks.
The purpose of the emergency concussion insurance student activity form is to ensure that all stakeholders are informed about the risks of concussions associated with certain activities and to confirm that the necessary insurance is in place to cover any potential injuries.
The form must include the student's personal details, parent or guardian's contact information, details of the activities, insurance information, and acknowledgment of concussion risks.
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